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Brian R Bradshaw, MD
Dermatology Physician in Provo, Utah
NPI 1811955800

Brian R Bradshaw is a Dermatology Physician based in Provo, UT. Brian R Bradshaw practices in Provo, UT and has the professional credentials of MD. The NPI Number for Brian R Bradshaw is 1811955800 and holds a License No. 2806031205 (Utah).

The current practice location address for Brian R Bradshaw is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-374-8999 and via fax at 801-429-8063.

Location: 1055 N 500 W, Provo, UT, 84604-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811955800
Provider Name
Brian R Bradshaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604-3305
Phone Number
801-374-8999
Fax Number
801-429-8063
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03-00064 01 UT UNITED HEALTHCARE
36578 01 UT PEHP
QM0000001619 01 UT ALTIUS
225984 01 UT DMBA
107006919101 01 UT IHC HEALTHPLANS
070008058 01 UT PALMETTO
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-374-8999
Fax Number
801-429-8063
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-374-8999
Fax Number
801-429-8063
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
2806031205 (Utah)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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